tci Medicare Compliance & Reimbursement - 2012 Issue 7

Audits: RACs Are Now Checking Your Modifier 25, Injection Claims

Plus: Contractors are also auditing place of service, bilateral services, and consolidated billing. Your practice may have grown accustomed to the presence of recovery audit contractors (RACs) in the Medicare world, but it can still be hard to follow the issues that the RACs are investigating. Check out the following five recently-posted RAC focus areas so you know what they're seeking, and find out how you can stay out of the auditors' crosshairs. Consolidated Billing Region D RAC, Health Data Insights, announced on Jan. 28 that it will be reviewing claims for SNF consolidated billing for therapies provided during...

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